Doctor Name: | MARYAH D. MILLER |
NPI Number: | 1124127089 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | 1929 |
Business Practice Address: | 200 Medical Village Dr Behavioral Health Edgewood, KY - 410173408 |
Business Phone Number: | 8593015900 |
Business Fax Number: | 8593015940 |
Mailing Address: | Po Box 636324, CINCINNATI |
State: | OH |
Postal Code: | 452636324 |
Phone Number: | 8593445555 |
Fax Number: | 8593445552 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 12/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 1929 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |